RN, Care Manager

Cityblock Health•Lakeland, FL

3d•Hybrid

About The Position

The RN Care Manager (RNCM) manages a panel of clinically complex members to support impactable clinical programs, quality gap initiatives and ED and IP utilization. The RNCM collaborates with members to create a care plan and oversees progress to the plan, frequently reassessing needs while moving members toward clinical program and pathway graduation. The RNCM coordinates closely with both the integrated Cityblock Care Team as well as external providers and community partners.

Requirements

Graduate of an accredited school of nursing (R.N.)
3+ Years of experience
Strong critical thinker with sound clinical judgment who makes complex decisions independently and knows when to collaborate.
Identifies system barriers to care and develops creative, practical solutions.
Demonstrates a growth mindset and openness to innovative approaches to improve outcomes.
Strong written and verbal communicator across phone, text, virtual, and in-person settings.
Comfortable using technology to engage members remotely.
Applies Motivational Interviewing and Trauma-Informed Care principles to build trust.
Effectively translates clinical information for non-clinical audiences and actively listens to understand and address needs.
Balances competing priorities by choosing the path that best aligns with service to members and inclusive processes.
Identifies and responds to member needs proactively and suggests improvements that enhance the member experience.
Applies understanding of government-funded care to make better recommendations and improve processes.
Adapts collaboration style to build understanding and bridge communication gaps and encourages others to share ideas.
Helps improve how the team works together through observations and feedback.
Highlights others’ contributions and drives small but meaningful and inclusive actions to contribute to team morale, safety, and engagement.
Helps peers stay aligned by translating broader goals into clear team action, identifies misalignment, and proposes solutions to bring clarity and focus.
Spots gaps or roadblocks early and proposes ways around them, demonstrating resourcefulness and persistence even when projects are ambiguous or difficult.
Uses metrics and data to evaluate impact and refine their approach, holding self and others to reliably high standards.
Invests time in personal development that aligns with business needs and supports learning within the team by sharing knowledge or tools.
Helps translate abstract or evolving strategies into actionable work informed by business context and pushes through discomfort to deliver results and learn in new territory.
Challenges assumptions thoughtfully and constructively and applies creative problem-solving to ambiguous or evolving work.
Medical Clearance (for Member-Facing Roles): You must complete Cityblock’s medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.

Responsibilities

Receives members from the engagement and central teams, clearly communicating program expectations, including duration and goals.
Completes self-efficacy and condition-specific screeners during the assessment and intake phase, along with behavioral health screeners like PHQ-9, GAD-7, AUDIT, and DAST-10 to identify behavioral health needs.
Refers members to behavioral health programs as needed.
Conducts in-person clinical examinations when appropriate and collaborates with care team members to determine member placement in programs of varying intensity.
Prepares for and actively participates in case conferences, leading discussions when necessary.
Develops a care plan in collaboration with the member, addresses social needs with the support of the Community Health Partner and supports members in achieving their care plan goals through coordinated and comprehensive care efforts.
Conducts regular clinical visits and follow-ups per clinical program and pathway guidelines, monitoring routine therapeutic interventions and addressing member needs promptly.
Collaborates with the care team to support a panel of assigned members, providing clinical assistance in health maintenance, chronic disease management, and co-occurring psychiatric disorder support.
Performs medication reconciliation, administration, compliance, and education as part of member care.
Addresses quality gaps prioritized by the contracted company and ensure thorough chart documentation and coding (ICD or CPT) to validate gap closures.
Utilizes care facilitation tools, electronic health records, and scheduling platforms to gather data, document member interactions, organize information, track tasks, and communicate with team members and community resources.